Physician

James Patrick Rybak, M.D.

According to 2025 Medicare claims, James Rybak, M.D. (NPI: 1801042700) practices urology in the St. Louis, MO-IL market, with the plurality of this provider's patient population coming from St. Clair, IL. This provider's primary affiliated billing organization is UROLOGY OF ST. LOUIS, INC. (NPI: 1528017191; TIN: 430835090) and primary practice location at 62208-2041. Rybak is affiliated with the IRCCO (ACO ID: A2619), OSF Healthcare System (ACO ID: A3289), SSM IL ACO, LLC (ACO ID: A4832), SBL accountable care organization (ACO ID: A5147), and IHCI ACO Midwest LLC (ACO ID: A5516), participating under the MSSP model.

Rybak's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 917 traditional Medicare patients, billed 11,460 HCPCS/CPT codes, and received $278,544 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 3,083 prescription claims across 738 beneficiaries totaling $326,585 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 55 claims. Open Payments data shows 45 records totaling $1,427. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $136,515 and ending at $278,544. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $398 and ending at $167.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	431	2,173	$136,515
2016	849	6,589	$213,767
2017	890	13,070	$286,558
2018	900	9,839	$280,165
2019	858	7,089	$280,762
2020	760	5,973	$215,955
2021	844	13,260	$284,575
2022	701	11,396	$225,866
2023	906	16,552	$292,855
2024	917	11,460	$278,544

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	204	900	$49,213
2016	439	1,874	$117,849
2017	653	3,154	$217,527
2018	633	3,309	$323,052
2019	602	3,177	$444,859
2020	590	2,735	$345,235
2021	619	2,849	$259,022
2022	594	2,640	$272,659
2023	655	2,734	$307,988
2024	738	3,083	$326,585

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	88	$6,536
2016	N/R	94	$9,937
2017	17	187	$21,098
2018	19	267	$34,159
2019	15	231	$30,522
2020	13	169	$35,908
2021	N/R	53	$41,051
2022	N/R	45	$38,030
2023	N/R	57	$38,473
2024	N/R	55	$39,736

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	458	613	$83
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	273	322	$58
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	571	765	$11
36415	Insertion of needle into vein for collection of blood sample	245	276	$9
81003	Automated urinalysis test	785	1,270	$2

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Myrbetriq	Mirabegron	133	7,224	$108,725
Gemtesa	Vibegron	117	5,560	$89,435
Orgovyx	Relugolix	16	480	$43,568
Mirabegron Er	Mirabegron	26	1,560	$18,683
Tamsulosin Hcl	Tamsulosin Hcl	966	71,936	$13,626

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each	N	N/R	26	$29,235
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	29	$10,501

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	45	$1,427	PROCEPT BioRobotics Corporation
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for James Patrick Rybak, M.D.?

Tedicare shows public-source Medicare data for James Patrick Rybak, M.D. (NPI 1801042700), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does James Patrick Rybak, M.D. have ACO affiliation data?

James Patrick Rybak, M.D. is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619), OSF Healthcare System (MSSP, ACO ID A3289), SSM IL ACO, LLC (MSSP, ACO ID A4832), SBL accountable care organization (MSSP, ACO ID A5147), and IHCI ACO Midwest LLC (MSSP, ACO ID A5516).

What billing organization is linked to James Patrick Rybak, M.D.?

James Patrick Rybak, M.D. is linked to UROLOGY OF ST. LOUIS, INC. (billing NPI 1528017191) in the available physician profile data.

Does James Patrick Rybak, M.D. have Open Payments data?

James Patrick Rybak, M.D. has 45 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.